Managed Services Organization

Prospect Medical Systems, a healthcare management services organization (MSO), provides administrative support services to individual physicians and group practices. One of the primary purposes of an MSO is to relieve physicians of non-medical business functions so they can focus on the clinical aspects of their practices.

We provide the infrastructure necessary to administer the following services, which smaller groups and individual practices may not have the resources or staff to provide:

  • Contracting (Health Plan and Provider)
  • Comprehensive Utilization Management and Care Plus Programs
  • Performance Programs (STAR, HCC, HEDIS, Pay for Performance)
  • Provider Relations and Network Management
  • Credentialing
  • Customer Service and Member Relations/Retention
  • Claims Processing
  • Financial Services and Decision Support
  • Business Development and Marketing
  • Information Technology
  • Auditing and Compliance
  • And more

By providing “turn-key” operations with integrated management services, we help bring quality healthcare and cost savings to providers, patients and payers.

Our programs and services help our clients deliver on the “Triple Aim.”

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This triangle shows the balance among the three segments: health, care and cost.

The health segment represents improving quality and health outcomes for a defined population. We advocate and encourage healthy behaviors with patients and providers.
The care segment is for providing patients the care they need—when and where they need it. It is patient- and family-centered care that is seamless and integrated.
The cost segment represents eliminating waste of expenditures and the reduction of unwarranted variation. We reward outcomes, not outputs.

Prospect Medical can help you maximize the Triple Aim for you and your patients, resulting in optimized health care delivery with reduced costs.

In addition, Prospect helps our clients grow their business, not just manage their existing lives.

Through our strong relationships with health plans, insurance brokers, employer groups and community resources, we are able to encourage and support membership growth for our clients.

We are proud to have earned “Elite” status for the last four years from CAPG, the largest national organization representing physician organizations. We take pride that every one of our MSO clients is supported by a dedicated team, including a group administrator and a physician representative, assigned specifically to them. This intense focus on service and quality has helped us achieve our goal of delivering an integrated healthcare model that not only works effectively, but also helps our clients’ practices grow their patient base and promote financial stability.

To find out more about how our MSO services can assist your organization, please call our MSO Operations Department at 800-708-3230 prompt 1 then 7 or email us at MSO.Inquiries@prospectmedical.com. We look forward to speaking with you and discussing how Prospect can help you achieve the Triple Aim!